HomeMy WebLinkAboutMERGENorman Abraham FOVAL 01 -to- r?.T
/
Lot Forest Ranch no. end of
Forest Dr., Forest Ranch
-- -
/
Permit 991-70B (new single family)
806'2676' 063-'l 50-002
MISCELLANEOUS Water Heater � �
REPLACE WATER HEATER, NEW PR(
^ 15j7VFOREST \C)R
WILSON, MARTIN
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Norman Abraham FOVAL 01 -to- r?.T
/
Lot Forest Ranch no. end of
Forest Dr., Forest Ranch
-- -
/
Permit 991-70B (new single family)
806'2676' 063-'l 50-002
MISCELLANEOUS Water Heater � �
REPLACE WATER HEATER, NEW PR(
^ 15j7VFOREST \C)R
WILSON, MARTIN
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Norman Abraham FOVAL 01 -to- r?.T
/
Lot Forest Ranch no. end of
Forest Dr., Forest Ranch
-- -
/
Permit 991-70B (new single family)
806'2676' 063-'l 50-002
MISCELLANEOUS Water Heater � �
REPLACE WATER HEATER, NEW PR(
^ 15j7VFOREST \C)R
WILSON, MARTIN
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 15579 FOREST CIR
Owner:
Permit No: B06-2676
APN: 063-150-002
WILSON, MARTIN
Issued Date: 11/17/2006 By ' KEJ
Permit type: MISCELLANEOUS
P.O. BOX 396
Subtype: Water Heater C/O
FOREST RANCH, CA 95942
Expiration Date: 11/17/2007
Description: REPLACE WATER HEATER, NEW
(530) 343-0420
Occupancy: Zoning: Rl
Contractor
Applicant:
Square Footage:
WILSON, MARTIN
Building Garage Remdl/Addn
P.O. BOX 396
FOREST RANCH, CA 95942
Other Porch/Patio Total
(530) 343-0420
FEE INFORMATION
Gas System $55.00
Water Heater (qty) $55.00
Total Charged: $110.00 Fees Paid: $110.00
Balance Due: $0.00 Receipt No: B906
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 11/17/2006
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractors Signature Date
I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
WORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
E]
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractors License Law dows not apply to an owner of the property who builds or improves
My Workers' Compansation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
Carrier: Policy Number: Exp. Date:
(This section nee not be completed if the permit is or on�llars ($100) or less.)
I
D I AM EXEMPT under Section B. & P.C. for this reason:
j I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
L-01SSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'X
/ 11/17/2006
compensation provisions of Section 370 oftbe-L or Code, I shall forthwith comply with those
Owner Signature Date
provisions.
X / 11/17/2006
hereby certify that I have read this application and state that the above information iscorrect. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION,
( 1
the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorized to act on the property owners behalf.
11/17/2006
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner ❑ Contractor OR; DAgent for Owner DAgent for Contractor
j FILE COPY
Lenders Address City State zip •
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 75965
(530) 538-7601 Telephone
(530) 538-7785 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. Q(DDR NO)
I ( PR/AV HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
NAME
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED:
NAME ADDRESS PHONE TYPE OF WORK
Description: REPLACE WATER HEATER, NEW PROPANE TANK AND LINES
Reference Number: B06-2676
Applicant Name: WILSON, MARTIN
Signature of Property Owner: Date: — 17—W
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND- SUBMITTAL REQUIREMENTS
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
ARCHITECT/ENGINEER
OWNER INFORMATION
Last Name
City
irs e
MailinAddressZx
;.
3 5,
City r P r7 �� n a�
State
Trp
Phone - ,
JU-3(
7-vY'Z�
Fax
E-mail
ARCHITECT/ENGINEER
CONTRACTOR
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Lot #
Fax
E-mail
Lic. #
Class
ARCHITECT/ENGINEER
.Name
Address
City
State
Zip
Phone
Fax
E-mail
State Liceh4,Number
APPLICANT INFORMATION
Name
Address. r_V el
7 29
CityState��_
Yes
Z'o m y
`7
Phoney t/ 3 -_� U
Fax
E-mails
APPLICANT 41GN6TC�.
NEW
..
For office use only:
Zoning
Flood Zone
SRA
Yes
No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
BIN #
PROJECT LOCATION
AP# I _oo 2,
Property Address e
S%1
Roy,ffr14,01-1
Cross Street
/i/p/-e-
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
Ell �c W
Sq FT- Living Garage Open Cov
O Structure Built without Permits
O Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received b
Amount: / U_J Bldg
SRA
Receipt #'::
Sheriff
SMIP
Date: 1 6�
Other
_�
Total
PERMIT NUMBER - B 991-70
1
P 828-70
E 942-70
PERMIT EXPIRES
OWNER Norman Abraham
f r r3' £ CONTR: owner
'
r LOCATION (A.P. 57-46-2
rte'
�U J Lot 34, Forest Ranch #l, no. end of
Forest Dr., Forest Ranch
Y. •
COUNTY OF BUTTE
Department of Public Works
BUILDING- INSPECTION RECORD
Zoning G/G �� -��7L1 Setback e,�=Z i --Z C3 --7 Forms G --
Foundation 0, �57-- % Ci Piers & Girders1-9.4le,4e�— :j —'% 6 Fireplace
Rgh. Plumbing ��� '�% Bond Beam - - Lath &Plaster /'
Rein. Steel Gas Piping & Test Found. Vents
Framing '% 6" Plm.g. Topout®��l `�'� '% ® Rough Elea
Wtr. Htr. Zt Furnace _ Kitchen Vent
Firewall Garage Vents Sanitation &Water
ELECTRIC GAS BUILDING
Temporary Temporary ����-� Ceit. of Occup.
Final JFinal Final
DATE REMARKS OR CORRECTIONS
r,
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Phone: 533-1230, Ext. 259
APPLICATION AND BUILDING PERMIT
Permittee Owner _ A. P. No. J �—
Mailing Address
Fire Zoneme
Zoning,.'
Contractor�'
'.
Sanitation. -;.i
Planning-
lannin -Mailing
MailingAddress
Plaris�%
Fees.
W.C...
BLDG. Address r �� .. �' {
R W Encroachnient
-
NEW ADDITION REPAIRS D OTHER,
Others
Single Multi
USE OF STRUCTURE Family �[]. Duplex 0 Dwelling
Others
F O U N D A T I O N
MATERIAL
EXTERIOR
PIERS
Width at Top
Width at Bottom
Depth in Ground
SQ. FT.
OCC.
BUILDING VALUATION
---
R.W. PLATE ($ill)
SIZE
SPACING
SPAN
Girders
f
/
J
�
joists - lsc Floor
!
��
Joists- 2nd Floor
�J
Fireplace
-- --
Joists- Ceiling
tt
f
Total Valuation
r
Exterior Sttlds
Permit Fee
'
Interior Studs
Plan Checking Fee &/or Penalty
Roof Rafters
Total Permit Fee
��
Bearing Walls
��.. ■ �awv t MnJ 161110CR43C hA►1
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name
styleof.................................................................................
..•..•r•.............................•.•.............:.r..rr.r•.............,,.•.......•..........•......•...•......•....•.......••....•r
•..•........-•.••. p
License No . .......................... . Classification,,,,,,,,,,,,, and certify that the aforesaid license is in�trll force d effect,
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
0 I am the owner of the above property and I will contract to have all of the above work performed by licensed eontractoes.
(Sec. 7044).
I am the owner of the above property and do not intend to offer it for sale for one year from the dace of completion of the
improvements. (Sec. 7044).
Q Basis,, if any, for other statutory exemption,,,,,
.... r. •....................
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabll-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
I certify that I have read this application and state that the
above information is correct. I agree to comply to all County
ordinances and State Laws relating to building construction,
and hereby authorize representatives of the County of Butte
to enter upon the above-mentioned property for inspection
purposes. /
X.............................................................................. Date "O - /i
SIGNATURE OF PERMITTEE OR AGENT 01 / . / i v%
Receipt No.........................................................................................................
This BUILDING PERMIT is hereby Issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
By ................. 'Date /
.........................................�......... ......
Permit Expires Date.., . r
, 0
Permittee Owner �:�-
Mailing Add
Contractor
Mailing Address _
BLDG. Address
COUNTY OF BUTTE��
DEPARTMENT OF PUBLIC WORKS ��"
7 County Center Drive - Oroville, California 95965
v Phones. 533-1230, Ext: 259>
-T A, P P L I C A T 1 0 N :A -N D,/-P-L'U M°Byl N G P E„RtM,IoT—_7b
A.P.
DESCRIPTION OF WORK
NEW 'Ej” ADDITION REPAIRS
OTHERS:
r �
Remarks: •�
USE OF STRUCTURE
Single Multi
RESIDENTIAL Family Duplex 0 Dwelling
OTHERS:
1• �
Remarks:
�
House Sewer 5.00
Lawn Sprinkler system 2.00
TOTAL FEE $
CONTRACTORS" LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name
style of ............. ........................................................................................
......:................................................ ...................................................................................
License No Classification ............................................... and certify that the aforesaid license is in full force and effect.
B. OWNER -BUILDER &,.OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
I am the owner of ,the above, property and I will contract to have all of the above work performed by licensed contractors.
(Sec. 7044).
Q I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
0 Basis, if any, for other statutory exemption '
........................................................
.................................................................................................................................................................................................................................................................
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
I certify that I have read this application and state that the
above information is correct. I agree to comply with all County '
ordinances and State Laws relating to building construction,
and hereby authorize representatives of the County of Butte
to enter upon the above mentioned property for inspection
purposes.
X. ...Z..................................................................Date..91a,..... ..........
SIGNATURE OF PERMITTEE OR AGENT
Receipt No. - /�-...�a.......................................
This PLUMBING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
BY......n.....................Date.
......... ..,"7Z.....
No. @ Fee
PERMIT FILING FEE 52.00
Each fixture or trap or set of
�/
1.50
fixtures on one trap
Z
Repair or alteration drainage
or vent piping ✓_.�S/ l./ir •
f >
> _1.SO f .-
ii plc
Installation or repair
water piping
1.50
Each gas water heater or
,
gas heater vent
1.50
Gas piping system 1 - 5 outlets
'
1.50
Gas piping 6 or more - Each
30
House Sewer 5.00
Lawn Sprinkler system 2.00
TOTAL FEE $
CONTRACTORS" LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name
style of ............. ........................................................................................
......:................................................ ...................................................................................
License No Classification ............................................... and certify that the aforesaid license is in full force and effect.
B. OWNER -BUILDER &,.OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
I am the owner of ,the above, property and I will contract to have all of the above work performed by licensed contractors.
(Sec. 7044).
Q I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
0 Basis, if any, for other statutory exemption '
........................................................
.................................................................................................................................................................................................................................................................
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
I certify that I have read this application and state that the
above information is correct. I agree to comply with all County '
ordinances and State Laws relating to building construction,
and hereby authorize representatives of the County of Butte
to enter upon the above mentioned property for inspection
purposes.
X. ...Z..................................................................Date..91a,..... ..........
SIGNATURE OF PERMITTEE OR AGENT
Receipt No. - /�-...�a.......................................
This PLUMBING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
BY......n.....................Date.
......... ..,"7Z.....
L COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
PHONE: 533-1230, Ext. 259
APPLICATION AND ELECTRICAL PERMIT }
Permittee Owner./'
Mailing Address
Contractor
Mailing Address
BLDG. Address lyL-•r% fh/-C-��' fsts-E� �/ ,ir/t0 .Gwt.,%,•�
TOTAL FEE
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the'-provisionslof Chapter -9, Div. 3, of the State of California Business &,Professions Code under the name
styleof ............................................. . _............................................................................................................................................._..........--
License No. _ '" -"- tie .
,,,,,,,,,,,,,,,,,,,,,,,,,,I Classificacion,,,,,,,,,,,,,,,,,,,,,,,_...................,_, , and certify that the aforesaid Itceose is in full force and effect.
B. OWNER -BUILDER &-OT-HERS,COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one).
I
I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
( Sec. 7044).
I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
0 Basis, if any, focother statutory exemption....................................................................................................._........„.
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
I certify that 1 have read this application and state that the above in-
formation is correct. I agree to comply with all County ordinances and
State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli-
sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances.
property for inspection, purposes. � '
. h �7�J 1+��^ O r} DIRECTOR OF PUBLIC WORKS
`- !r°
K...............s................................;.................................. Date -r
SIGNATURE OF PERMITTEE OR AGENT By ......r.�:,..,..Date.....�_J—/.I-.-.70.—.7O.
.......:.:... ................
Receipt No.
...../„/.............................................
4 . f '
DESCRIPTION OF WORK
No.
Fee
$2.00
PERMIT FILING FEE
NEW � ADDITION � METER SERVICE 0
..
Supplementary Filing Fee
1.00
OTHERS:
Main Service
Sub -panel (lessOs;) (mor12) -
Each
2 11
Range, Dryer or Water Heater
Z
- Each LOO,
OZ
Remarks:
Oven, Cook -Top or Space Heater
Each :..50
tJ
Light Fixtures
00
7
First 20 .20
Each Additional .10
<tJ
USE OF STRUCTURE
Reczacles„ _Swghes & Fixture O lets
V
Firsi 20 .20
Each Additional .10
Hood, Exhaust Fan or F.A. Furor Motor
-510
Each- .50
.5�
�►
SingleMulti
Iv
-Family l� Duplex Q Dwelling �
_-
Evap. Cooler, Gar. bisp. or Dishwasher
V
Each .50
Air Conditioner o Heat Pump->
OTHERS:
Water Pum
Misc. Wiring
�"',/1'"c�./ ,�.r_.aT STT- �, • .,
i � �
i,:
.� � � d
,;..:
Remarks: ( +
TOTAL FEE
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the'-provisionslof Chapter -9, Div. 3, of the State of California Business &,Professions Code under the name
styleof ............................................. . _............................................................................................................................................._..........--
License No. _ '" -"- tie .
,,,,,,,,,,,,,,,,,,,,,,,,,,I Classificacion,,,,,,,,,,,,,,,,,,,,,,,_...................,_, , and certify that the aforesaid Itceose is in full force and effect.
B. OWNER -BUILDER &-OT-HERS,COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one).
I
I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
( Sec. 7044).
I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
0 Basis, if any, focother statutory exemption....................................................................................................._........„.
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
I certify that 1 have read this application and state that the above in-
formation is correct. I agree to comply with all County ordinances and
State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli-
sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances.
property for inspection, purposes. � '
. h �7�J 1+��^ O r} DIRECTOR OF PUBLIC WORKS
`- !r°
K...............s................................;.................................. Date -r
SIGNATURE OF PERMITTEE OR AGENT By ......r.�:,..,..Date.....�_J—/.I-.-.70.—.7O.
.......:.:... ................
Receipt No.
...../„/.............................................
4 . f '
r COUNtY OP BUTTE
DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Phone: 533-1230, Ext. 259
APPLICATION AND BUILDING PERMIT
Permittee Owner// +..� + ��f ✓ /` t +-+ .yam_
Mailing Address �- '' r t
A. P. No.' -
Fire Zone';
Zoning
Contractor
Mailing Address
r
BLDG. Address .6 `r �� �- -- /��
Sanitation .'}
Planning-
Plans ~
Fees a -
W.C. .
R W
Encroachment
NEW i`'r ADDITION C-1 REPAIRS ED OTHER 0
Others
Single Multi
USE OF STRUCTURE Family ED -Duplex E] Dwelling
Others
F O U N D A T I O N
MATERIAL
EXTERIOR
PIERS
Width at Top
Width at Bottom
Depth in Ground
SQ. FT.
OCC.
BUILDING VALUATION
PLATE,(Sill)
SIZE
,SPACING
SPAN
/ '• �rC^
%r
� % 3 r -i
Girdeis
0
joists - 1`t Floor
Joists- 2nd Floor
,
Fireplace
,i '� a+
Joists - Ceiling
�•
_
Total Valuation
w %"
Exterior Stads
Permit Fee
Interior Studs r
Plan Checking Fee &/or Penalty
Roof Rafters
Total Permit Fee
/T o-ayy
Bearing Walls
ttun i nAu i UIiS LlUrH5C LA11
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
1 am licensed under the provisions of C=hapter. 9, Div. 3, of the State of California Business & Professions Code under the name
styleof..............................................................................................................................................................................................:.................................................
License No, ,,,,,,,,,,,,,,,,,,••,,,,,•, Classification,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, and certify that the aforesaid license is in -full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
(Sec. 7044).
I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
0 Basis,. if any, for other statutory exemption..................................................................................................................................................................
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
I certify that I have read this application and state that the
above information is correct. I agree to comply to all County
ordinances and State Laws relating to building construction,
and hereby authorize representatives of the County of Butte
to enter upon the above-mentioned property for inspection
purposes.
X............................................................................. Date
.........:.......................
SIGNATURE OF PERMITTEE OR AGENT
ReceiptNo.........................................................................................................
This BUILDING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
By................................................................................ Date ................................
Permit Expires Date ,,,,,,,,,,,•,•••,,,,,,,,•,•••••
t • I
ft
i
Permittee Owner
Mailing Address
Contractor
Mailing Address`
BLDG. Address ;;
COUI#TY ''OIF BUTTE
DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Phone: 533-1230, Ext. 259
APPLICATION AND PLUMBING P E R M I T
0
DESCRIPTION OF WORK
NEW'— ADDITION 0 REPAIRS 0
OTHERS:
Remarks:
USE OF STRUCTURE
Single Multi
RESIDENTIAL Family f0'r Duplex 'F Divellii�g 'Q
OTHERS:
- Remarks:
A.P. No. _5--'7—
PERMIT FILING FEE
No.
@
$2.00
Each fixture or trap or set of
fixtures on one trap
n
J/
1.50
Repair or alteration drainage
or vent piping
1.50
Installation or repair
water piping
1.50
Each gas water heater o, r,
gas heater vent
1.50
Gas piping system I - 5 outlets
1.50
Gas'piping 6 -of more - Each
30
House Sewer
5.00
Lawn §2rinkler system
2.00
TOTAL FEE I 3
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
Fee
2 a-tJ
L�
S
I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name
styleof................................................................................................................................................................................................................................................I
License No Classification,,,,,,,,,,,,,,,, and certify that the aforesaid license is in full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
( Sec. 7044).
I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
QBasis, if any, for other statutory exemption.................................................................................................................................................................:
.................................. .... . .. .
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
I certify that I have read this application and state that the
above information is correct. I agree to comply with all County
ordinances and State Laws relating to building construction,
and hereby authorize representatives of the County of Butte
to enter upon the above mentioned property for inspection
purposes.
faa
X.................................................................................Date......................................
SIGNATURE OF PERMITTEE OR AGENT
Receipt o
....................................................................
This PLUMBING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OFQ PUBLIC WORKS
-�.« ..............Date /"t♦... -'-%b
BY.. ............. i...................
5
r
OF WORK
j
Permittee Owner .=-e
Mailing Address 1 "
COUNTY OF BUTTE
DEPARTMENT OF�i' PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 III
PHONE: 533-1230, Ext. 259
APPLICATION AND ELECTRICAL PERMIT
A. P. No.
_Contractor
.�
Mailing Address
BLDG. Address
DESCRIPTION
OF WORK
No.
Fee
,�
S2.00
�/
PERMIT FILING FEE
NEW 0 ADDITION �
METER SERVICE 0
Supplementary Filing Fee
1.00
OTHERS:
Main Service
~
/^•
���
Sub -Panel (12 or (more than
less)
Each
�Tf
Range, Dryer or Water Heater
,7
Each
L00
�J
Remarks:
Oven, Cook=Top or Space Heater
Each
:".50
Light Fixtures
g
I �!i
'
First 20
Each Additional
.20
.10
0-0Li
USE OF STRUCTURE
"e .�iJ t7/1
Rece tacle_s., Switches & Fixture Oudecs
�.
First 20
Each Additional
20
10
Hood, Exhaust�Fan or F.A. Futn. Motor
Each
.50
Single
Family F ---J' Duplex
Multi
E:1 Dwelling
Evap. Cooler, Gar. Disp. or Dishwasher
Each
.50
OTHERS
Air Conditioner or Heat Pump".?
Misc. Wiring
Remarks:
TOTAL FEE
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business dt Professions Code under the name
style of.............................................................................._......................................................................................................._................................................._..
License No Classification .............................................. . and certify that the aforesaid license is in full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one}
I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
( Sec. 7044).
I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
0 Basis, if any, foaother statutory exemption....................................................................................................._.._...._............._.................. ...._.. ..
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. .1 have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
I certify that I have read this application and state that the above in-
formation is correct. I agree to comply with all County ordinances and
State Laws relating to building construction, and hereby authorize repre-
sentatives of the County of Butte to enter upon the above mentioned
property for, insppeeccttion'.purposees. �f' /
X'.. .... ....� Date �z
J ......... ............... ..... .......... ..
...... ...... ........ ...... ......
SIGNATURE OF PERMITTEE OR AGENT
ReceiptNo................v..............................
This ELECTRICAL PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
By.. . ��` /%.'/.+...ill �• ........ Date ....�.�Lr..�p........
WN
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L'"(..Q-�. .:� �-+- (/` � � f^^ G,t,• !/r«f( L�-� f'�.r + ,j" i�G7l.. r L�s-� " G h